DAX E FUITEN Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051286415

License Status

ACTIVE

Business

First Name

DAX

Middle

Last Name

FUITEN

Business Name

DAX E FUITEN

Original Issue Date

12/13/1997

Effective Date

02/10/2026

Expiration Date

03/31/2028

City

MORTON

State

Zip

61550

County

TAZEWELL

Ever Disciplined

LastModifiedDate

02/10/2026